To appropriate money for supplemental purposes for the several departments and offices of state
government, and for purchase of equipment, and for the payment of various claims for
refunds, for persons, firms, and corporations, and for other purposes, and to transfer
money among certain funds, from the funds designated for the fiscal period ending
June 30, 2008.

Be it enacted by the General Assembly of the state of Missouri, as follows:

There is appropriated out of the State Treasury, chargeable to the fund and for the agency
and purpose designated, for the period ending June 30, 2008, as follows:

Section 14.005. To the Department of Elementary and Secondary Education

For distributions to the free public schools under the School Foundation
Program as provided in Chapter 163, RSMo, as follows: At least
$29,231,681 for the foundation formula; and no more than
$2,500,000 for Early Childhood Special Education

Section 14.055. Funds are to be transferred out of the State Treasury,
chargeable to the General Revenue Fund, to the State Highways
and Transportation Department Fund, for reimbursement of
collection expenditures in excess of the three percent limit
established by Article IV, Sections 29, 30(a), 30(b), and 30(c)

For the purpose of paying overtime to state employees and/or paying
otherwise authorized personal service expenditures in lieu of such
overtime payments. Nonexempt state employees identified by
Section 105.935, RSMo, will be paid first with any remaining
funds being used to pay overtime to any other state employees

For the purpose of funding respite care, homemaker chore, personal care,
advanced personal care, adult day care, AIDS, children’s waiver
services, and other related services under the MO HealthNet fee-for-service and managed care programs. Provided that individuals
eligible for or receiving nursing home care must be given the
opportunity to have those MO HealthNet dollars follow them to
the community to the extent necessary to meet their unmet needs
as determined by 19 CSR 30 81.030 and further be allowed to
choose the personal care program option in the community that
best meets the individuals’ unmet needs. This includes the
Consumer Directed MO HealthNet State Plan. And further
provided that individuals eligible for the MO HealthNet Personal
Care Option must be allowed to choose, from among all the
program options, that option which best meets their unmet needs
as determined by 19 CSR 30 81.030; and also be allowed to have
their MO HealthNet funds follow them to the extent necessary to
meet their unmet needs whichever option they choose. This
language does not create any entitlements not established by
statute. Upon receipt of a referral for MO HealthNet funded home
and community-based care containing a nurse assessment or
physician’s order, the department shall review the
recommendations regarding services and process the referral
within 15 business days. When information contained in the
referral is sufficient to establish eligibility for MO HealthNet
funded long-term care and determine the level of service need as
required pursuant to state and federal regulations, the department
shall prior-authorize Home and Community-based services and
arrange for the provision of services. MO HealthNet
reimbursement for personal care benefits shall be effective the date
of the assessment or physician’s order. MO HealthNet
reimbursement for Waiver services shall be effective the date the
state develops and approves the care plan. At such time the state
shall notify the referring entity. The in-home provider shall be
reimbursed a minimum of one and no more than two authorized
nurse visits to make the initial nurse assessment. When
information in insufficient or the proposed care plan requires
additional evaluation by state staff that is not obtainable from the
referring entity, the department shall inform the provider and
contact the individual to schedule an in-home assessment to be
conducted by the state staff within 30 days

For the purpose of funding a regionally integrated electronic medical
records system linking rural physicians and hospitals in the
Northwest Missouri region. Such project shall provide a system
which integrates health care records within a regional database and
utilizes technology that can be easily shared with other health
providers and may be replicated beyond its immediate population.
The contractor shall be required to provide at least nine hundred
thousand dollars ($900,000) in matching contributions to the
project. Said match may be a combination of cash and in-kind